Hi everyone, I would really appreciate some feedback and help with my therapy I have started. Very informative and smart people on here, I value your guy’s opinions. Now to get started.
Weight: 250lbs (overweight, however weight distributes evenly on my body, chest, stomach, ass, legs) people think I look “big” as opposed to generalized fat.
Symptoms: General laziness, lack of motivation, tired, sexual desires half of what it used to be (always horny lol). Used to be 230-240lbs, now 250.
Vices: Used to smoke alot of weed, quit for couple years now. Drink hard alcohol on weekends, usually alot, cut that down to almost completely zero for the last 3 to 4 weeks. Smoked cigarettes only when drinking, do not otherwise.
Supplements: Multivitamin, Vitamin D, Vitamin B, Omega 3-6-9, Probiotic, Milk thistle (just started)
TRT: Delatestryl Test Enthanate @50mg shot twice a week.
Backstory: Due to just general lack of life enjoyment etc, and trying for a kid, my GP had my testosterone tested. It came back low, he referred me to a urologist. While waiting for my Urologist appoint, wife got pregnant. I still decided to see the urologist, after much research on this site and others, regarding the benefits of TRT. I have alot of “juicer” friends and see them in shape and living life like they are still 20, energy etc related. I dont want to abuse, I just want to feel like im supposed to and not like an old man.
Urologist had me retested (I will post results) and said I was considered “low normal” and that I would qualify for trt, atleast to see how I felt on it, the choice was mine. I was pumped, as I had always wanted to try test, and what better way than pharmaceutical grade, and under a doctors supervision. He prescribed me 200mg every 2 weeks, offered numerous applications, eg gel, nasal spray etc, from my knowledge I opted for the Injection. Loaded with this info I started heavily researching. Right off the bat I found the dosage should not be every 2 weeks, in order to avoid the peaks an valleys, which the Doc even mentioned. I decided against getting on it right away, due to the research I was doing along with wanting to change my diet and start working out prior to starting therapy. I want to maximize the benefits and do this properly.
I have started working out, plus cardio for the last 4 weeks. My diet is much better than it was, cut out processed foods, and heating much cleaner finally, still not 100% but way better than I was. During this time I was supposed to see my Doc for a follow up appoint as far as he was aware, I had started. I went to the appt and explained why I had not started, regarding, proper diet, exercise etc, he was all for it, I explained the peaks and valleys he mentioned could easily be avoided If I was taught to self administer twice a week at 50mg per shot. He was also supportive of this. He asked if I planned to have more kids, I said its a possibility, after some discussion regarding hcg, and stacking. He said he follows the American Urological Association guidelines for TRT. He suggested I try HCG first. I still wanted to do test, as I have seen alot of you guys mention doing the HCG with it if anything. So he gave me my first shot to start, May 24th @200mg, told me to get my next shot on May 30th @50mg, and basically start giving myself 50mg shots every Monday and Thursday.
Here are my concerns, im finding alot of extremely knowledgeable people on this forum are far more informed than my urologist. As soon as I found out the whole 2 week shot he suggested was a bad idea, I knew I had to monitor my therapy myself, with hopefully your guys guidance. So the doc has told me to start my therapy which I have, and now my follow up blood work is for first week of July. I asked him regarding Estrogen or E2 blood work as a baseline and he said not needed, I dont think he even checked my SHBG. These are now my concerns, and would very much appreciate the help please.
Apart from the blood work the urologist has had me do already. What is missing or what I should get, now before July, and also what should I make sure is included for the July test. I spoke to my family Doctor and informed him I started my treatment and need some extra blood work done which the urologist was not concerned about. I am seeing him on Monday 3rd, he said to bring in which tests I would like for him to do, for example I know I need my SHBG, E2 estradiol, cholesterol levels checked. He was being supportive. I am 2 shots in. Monday will be my 3rd @50mg
I have not done my thyroid temperature check as suggested by KSMAN, I always forget to do it first thing in the morning. Do I need to do it, according to my bloodwork?
3.I am concerned about hairloss, I understand its related to DHT, which I dont think has been tested yet. Should I take saw palmetto now as a preventative, or wait?
4.I somewhat have bitch titties as I carry weight around my chest also, I dont think its estrogen related but rather just fat, I really want to make sure I dont have any estrogen problems. I am eating lots of greens now, including kale shakes in morning and boiled broccoli, anything else I can do prior to having it checked through blood work.
I do want to try for another kid maybe 8 months down the road. Should I look into HCG now or its ok to wait further down the road.
Along with the supplements I mentioned in the start, what else should I be taking and at what dose.
In your guys honest opinion as I value it alot, is it ok for me to continue with the treatment, or perhaps stop and address something you guys recommend before really being fully committed. Especially as I know I dont have a complete blood report as the urologist really should have done. I would rather stop now than be few weeks in and go through a “deep valley”
I apologize If I have rambled on too much. The above questions are the start of my concerns, I really hope you experts can guide me in the right direction. I would love if I can get a set of guidelines and a to do list I can easily follow and maintain. Thanks again for taking the time to read through this and sending knowledge, advice, suggestions, and opinions my way, Im relying pretty much on you guys and this forum to do this right, as my urologist from what I can tell is pretty limited in this field, and only beneficial for the prescription. My family Doc on the other hand is willing to support and listen to what I have to say regarding the proper way to undertake this treatment. Thanks again.